1. Current Trends in Suicide Prevention, Intervention, and Postvention

2. Silvia Giliotti, LCSW New York State Office of Mental Health Downstate Suicide Prevention Coordinator (212) 330-6361 Ackerman Institute for the Family Silvia.Giliotti@omh.ny.gov

3. Using Best Practices to Prevent Suicide and Promote Healing After a Suicide  The purpose of the Best Practices Registry (BPR) is to identify, review, and disseminate information about best practices that address specific objectives of the National Strategy for Suicide PreventionNational Strategy for Suicide Prevention  BPR is a collaborative project of the Suicide Prevention Resource Center (SPRC) and the American Foundation for Suicide Prevention (AFSP)Suicide Prevention Resource Center American Foundation for Suicide Prevention  It is funded by the Substance Abuse and Mental Health Services Administration (SAMHSA). Substance Abuse and Mental Health Services Administration

4. POINTS OF INTERVENTION Population Prevention & Public Health Measures  Mass Screening  Individualized Risk Assessment  Triage: Triage: Hospitalization vs. Outpatient treatment Hospitalization vs. Outpatient treatment  Brief Interventions  Individual and/or Family Therapy Individual and/or Family Therapy (Postvention) (Postvention)

5. INDIVIDUALIZED RISK ASSESSMENT: C-SSRS Posner, K., Brown, G.K., Stanley, B., Brent, D.A., Yershova, K.V., Oquendo, M.A., Currier, G.W., Melvin, G., Greenhill, L., Shen, S., & Mann, J.J: The Columbia- Suicide Severity Rating Scale (C- SSRS): Initial Validity and Internal Consistency Findings from Three Multi-Site Studies with Adolescents and Adults. American Journal of Psychiatry (November 2011) http://cssrs.columbia.edu/abo ut_cssrs.html

6. BRIEF INTERVENTIONS: SAFETY PLANNING  Prioritized written list of coping strategies and resources for use during a suicidal crisis.  Helps provide a sense of control.  Uses a brief, easy-to-read format that uses the patient’s own words.  Can serve to motivate people to engage in treatment.  Should be the first intervention with a suicidal patient  Helps to immediately enhance patients’ sense of control over suicidal urges and thoughts and conveys a feeling that they can “survive” suicidal feelings  It is no substitute for treatment  Not to be used if there is imminent danger  It is NOT a No-Suicide Contract

7. SAFETY PLANNING: An example

8. SAFETY PLANNING Safety Planning App Now Available for Download New York State Office of Mental Health (OMH), along with the New York State Psychiatric Institute, the Research Foundation for Mental Hygiene and the New York State Suicide Prevention Initiative, created the free "Safety Plan" app for iOS devices (iPod, iPod Touch and iPad)Safety Plan Alternate versions of this application for Android- compatible devices will be available in the coming months.

9. BRIEF INTERVENTIONS: Applied Suicide Intervention Skills Training (ASIST) ASIST is a two-day non clinical, experiential, practice-oriented workshop developed by http://www.livingworks.net/ASIST. http://www.livingworks.net/ASIST ASIST-trained first aid intervention caregivers, will be better able to:  Identify people who have thoughts of suicide  Understand how beliefs and attitudes can affect suicide interventions  Seek a shared understanding of the reasons for thoughts of suicide and the reasons for living  Review current risk and develop a plan to increase safety from suicidal behavior for an agreed amount of time  Follow-up on all safety commitments, accessing further help as needed

10. BRIEF INTERVENTIONS: Upcoming ASIST workshops  January 14 and 15, 2014 8:30 a.m. to 4:30 p.m. (each day) Police Organization Providing Peer Assistance 26 Broadway, Suite 1640 New York, NY 10004-1898  February 10 and 11, 2014 8:30 a.m. to 4:30 p.m. (each day) Police Organization Providing Peer Assistance 26 Broadway, Suite 1640 New York, NY 10004-1898

11. POSTVENTION IS PREVENTION: CONNECT Connect is designed to reduce risk and promote healing following a suicide death and is a designated National Best Practice program. The CONNECT Suicide Postvention Training provides specific knowledge and skill development for various professions who might be involved in suicide response. http://www.theconnectprogram.org

12. Specifically for Schools  Creating Suicide Safety in Schools Workshop Creating Suicide Safety in Schools is a one-day, interactive workshop designed to engage high school teams in a process to: Evaluate existing suicide prevention and intervention readiness, receive evidence- based and best practice guidance, develop a comprehensive suicide prevention and response plan, and learn about resources to enhance safety and health of your school environment that are subsidized or available at low or no cost. Creating Suicide Safety in Schools workshop is endorsed by the NYS Association of School Psychologists, and is on the Suicide Prevention Resource Center Best Practice Registry

13. Creating Suicide Safety in Schools Workshop

14. Specifically for Schools  Lifelines: A Comprehensive Suicide Awareness and Responsiveness Program for Teens, Schools and Parents Lifelines trilogy is an Evidence Based, whole-school program made up of three unique components: Prevention, Intervention and Postvention. The Lifelines trilogy is based on over 20 years of suicide- in-youth research that indicates an informed community can help to prevent vulnerable teens from ending their lives.

15. Specifically for Schools  At Risk At-Risk for High School Educators is a one-hour online, interactive gatekeeper training simulation designed for high school teachers and staff using emotionally responsive student avatars

16. Specifically for Schools Sources of Strength (University of Rochester) Sources of Strength is a best practice youth suicide prevention project that utilizes the power of peer social networks to change unhealthy norms and culture and ultimately prevent suicide, bullying and substance abuse. The program is designed to prevent suicide by increasing help seeking behaviors and connections between peers and caring adults with a focus on Hope, Help and Strength. Sources of Strength takes a different approach in youth suicide prevention by moving beyond a singular focus on risk factors through building multiple sources of support around young individuals so that when times get hard they have strengths to rely on

17. UPCOMING WORKSHOPS IN NYC AND LI  omh.ny.gov/omhweb/suicide_preven tion/training  omh.ny.gov/omhweb/suicide_preven tion/Garrett_Lee_Smith  preventsuicideLI.org  preventsuicideNY.org